Individual provider · Type 1 NPI
Jenna Khoury, DMD
Pediatric Dentistry · La Jolla, CA
NPI number
1255648424
Active
Practice location
4165 Executive Dr, F201
La Jolla, CA 92037-1364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 60986 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1255648424
Jenna Khoury, DMD's National Provider Identifier is 1255648424, issued on Sep 8, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in La Jolla, CA. The record was last updated on Jun 28, 2012.